| NPI | 1487198446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 605925) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |